Provider Demographics
NPI:1770762585
Name:TORRES - TORRES, MARLA LOREN (MD, FACS)
Entity type:Individual
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First Name:MARLA
Middle Name:LOREN
Last Name:TORRES - TORRES
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Gender:F
Credentials:MD, FACS
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Mailing Address - Street 1:1452 ASHFORD AVENUE
Mailing Address - Street 2:COND. ADA LIGIA SUITE 1
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-5810
Mailing Address - Country:US
Mailing Address - Phone:787-724-9595
Mailing Address - Fax:787-724-9494
Practice Address - Street 1:1452 ASHFORD AVENUE
Practice Address - Street 2:COND. ADA LIGIA SUITE 1
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-5810
Practice Address - Country:US
Practice Address - Phone:787-724-9595
Practice Address - Fax:787-724-9494
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2014-10-01
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Provider Licenses
StateLicense IDTaxonomies
PR17945208600000X, 208C00000X
FLME113662208C00000X
KY42450390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program